| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $116.44 | $132.13 | $152.49 | |
CareFirst
| Professional | $46.00 | $122.96 | $195.51 | |
Cigna
| Professional | $115.35 | $160.58 | $344.42 | |
Kaiser Permanente
| Professional | $121.79 | $128.19 | $282.69 | |
United
| Professional | $102.07 | $134.18 | $317.91 |